Physiotherapy for hip pain
Hip pain can be deeply distressing and often stems from complex causes. We have great expertise in uncovering and treating a wide spectrum of hip disorders, from impingement problems and bursitis to pain that actually originates in the pelvis or lower back. We look at the body as an integrated whole. That is why we always investigate to find the underlying source of the problem. By correcting imbalances in both the pelvis, back and feet, we ensure an effective and lasting solution, rather than just treating symptoms.
"Highly competent and effective."
Lars Kleiminger
My back and hip discomfort are finally gone. You get a highly competent and effective treatment. The warmest recommendations from here.
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"Really skilled."
Anja Clemensen
I have had problems with lower back and hip pain for many years. After the second treatment the pain has completely disappeared. Lars is professional and really skilled.
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"Worked to find the cause"
Lars Henrichsen
After trying 2 other therapists, I was recommended Lars. He systematically worked to find the cause of my discomfort and has thus relieved my hip pain. I will definitely return.
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About hip pain
There are various reasons why you experience pain in the hip. Sometimes it is due to structural damage to the hip joint, such as damage to the labrum or osteoarthritis. Other times the pain is more diffuse and difficult to diagnose. When the pain is diffuse and undefined, the hip pain is typically due to reduced strength in one or more of the hip muscles. Most often we find reduced strength in the hip flexors or in the gluteus maximus muscles. By activating and strengthening the weak muscles around the hip and pelvis, the pain usually disappears. The structural damage requires more specific rehabilitation of the hip joint and depends on the type of damage. In most cases, it is about restoring strength and free mobility in the hip.
Osteoarthritis of the hip joint
Osteoarthritis of the hip is a common condition that results from long-term tear of the cartilage in the hip joint. Osteoarthritis can cause pain and reduced mobility in the hip joint. However, it is important to point out that osteoarthritis does not necessarily cause pain. It is possible to have osteoarthritis without having symptoms. In general, you can reduce the pain and delay the worsening by being physically active and doing strength training. We have great experience in activating and strengthening the hip flexors and gluteal muscles. In severe cases, it may eventually be necessary to replace the hip with a prosthesis, which subsequently requires specific treatment and rehabilitation. Of course, we are happy to help with that too.
Pain in the hip and down the leg
Sometimes pain in the hip can radiate down the leg. In the case of osteoarthritis in the hip, for example, the pain can radiate down to the knee. In other cases, the pain can radiate down the lower leg. In these cases, it may be relevant to have the back checked for a herniated disc in the lower back. However, the radiating pain can also simply be due to referred pain from one or more inactive nerves. If the nerve that activates the gluteal muscles is inhibited, it can cause radiating pain down the leg. It is therefore important to have the lower back, hip and pelvis thoroughly examined by a physiotherapist, so that the underlying cause can be found. Many times, the cause of the problem is found somewhere other than the symptom.
"Pleasant and super skilled."
Sofie Birkebæk
I've had hip pain for six months. But two visits to Thomas Flindt solved the problem. Thomas is thorough, pleasant and super skilled. Definitely recommended!
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"Expertise in muscle activation."
Daniel Khalaf
I have been treated for hip and lower back pain with Lars and his expertise in muscle activation and muscle imbalances has been a great help in becoming pain-free.
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"Strong recommendation."
Petra Hertl
Lars is very nice and professional. He has a lot of knowledge and he has helped me a lot with nerve, back and hip pain. Strong recommendation!
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Hip and lower back pain
There can often be pain in the hip and lower back at the same time. This is due to the fact that some of the muscles work over both the hip and lower back. This applies, for example, to the hip flexor and the gluteus maximus muscle. The hip flexor is used both to flex the hip and to stabilize the lower back. The gluteus maximus muscle stretches the hip and also has great importance for the pelvis and lower back. If the above muscles are weak, pain can occur in both the hip and lower back at the same time. We have great success in treating these types of pain by activating and strengthening the hip flexors and the gluteus muscle. When both muscles work optimally, the pain in the lower back and hip will typically disappear.
Pain on the outside of the hip
Hip pain can often manifest as pain on the outside of the hip. It can, for example, be due to sciatica pain or an inflamed bursa in the hip. It can also be due to reduced strength in one or more muscles around the hip and pelvis. At the clinic, we often see that the hip flexor or the two large gluteal muscles are weak when there is pain on the outside of the hip. The muscles mentioned are extremely important for the hip joint and can thus be the cause of the pain if they do not function optimally. By treating the hip flexor and gluteal muscles, most pain will typically be reduced or disappear completely. Pain on the outside of the hip can also be due to reduced mobility in the hip, pelvis or lower back. It is therefore important to be thoroughly examined for strength and mobility.
Hip pain in supine position
Many people experience hip pain when lying down. This can be when you are lying on your back or when you feel pain in your hip when you are lying on your side. Most often, the pain is due to a locked pelvis or reduced mobility in the lower back or hip. However, it can also be due to tense muscles around the pelvis, hip and lower back. If, for example, the hip flexor or the deep back muscle is overstretched, it will pull the pelvis sideways, causing pain in the hip when lying down. With this type of pain, it is important to have both muscle strength and mobility examined. If there is reduced strength in one or more muscles, the body will try to compensate by tensing up and locking either the pelvis or hip.
Inflamed bursa in the hip
An inflamed bursa in the hip can also cause pain in the hip. The pain will be located on the outside of the hip and may radiate down the leg or up towards the buttock. The reason why a bursa in the hip becomes inflamed is typically due to overload due to reduced strength in the surrounding muscles or reduced mobility in the hip, pelvis or lower back. It is therefore not enough to have a blockade in the bursa to treat the pain. If you do not treat the underlying cause of its inflammation, the bursa in the hip will become irritated again over time, causing the pain to return. Therefore, it is really important to have mobility and muscle strength examined around the hip, pelvis and lower back.
Buttock pain after hip surgery
You may experience pain in your buttocks after hip surgery. For example, the surgeon may have cut through the gluteus muscle to reach the hip joint, which can cause pain in the weeks after surgery. Another reason may be that the gluteus muscles have “turned off” after surgery, which means that the nerve does not send enough signals to the gluteus muscles. This can happen as a “defense mechanism” since the muscles have been cut. If the gluteus muscles are not activated, the buttocks may hurt after hip surgery. The treatment will consist of muscle activation and training exercises for the gluteus maximus and medius. The hip flexor can also cause pain in the buttocks, which is why it should also be checked.
Physiotherapy for hip pain
As explained above, a physiotherapist or sports physiotherapist can help you effectively if you have hip pain or have had long-term hip pain. However, for the treatment to be effective, it is a prerequisite that you first be thoroughly examined. At Copenhagen Physio, we take pride in treating the underlying cause of the hip pain instead of just treating the symptoms. This involves a thorough examination, which forms the basis for the chosen treatment. The treatment may consist of muscle activation, training exercises and joint mobilization in order to create free movement in the hip, pelvis and lower back. Sometimes a locked ankle can cause pain in the hip.
Get a pain-free hip
Our physiotherapists are specialized in treating hip pain. You can book an appointment via the orange button below or by calling our secretary on tel. +45 60 55 44 50.
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